Davis Rebecca A, Gustafson Dianne Travers
Creighton University College of Nursing, Omaha, Nebraska.
Public Health Nurs. 2015 Jul-Aug;32(4):327-38. doi: 10.1111/phn.12135. Epub 2014 Jul 1.
The purpose of this program development and evaluation project was to promote healthy families and communities by creating academic-practice partnerships, educating BSN students and building family-nursing student partnerships that were supported by a "village" of interconnected resources.
A mixed-methods design was used for the project. Data were collected from a convenience sample of vulnerable families, BSN students engaged in PHN practica, and partner members.
Nine tools were developed to capture data over two semesters including a GIS mapping strategy.
One hundred and seventy-five home visits were completed with 20 families, 14 of whom needed interpreter assistance. Families reported satisfaction with the quality of home visits, education, and assistance toward health goals. Fifty-three students provided 202 educational interventions, 39 community resource connections, and 46 care transitions. Students reported linking theory with practice and valued the PHN practicum experience. Academic-practice partners identified opportunities for program development and sustainability. GIS mapping illustrated complex family linkages to community resources.
Results suggest that young, vulnerable families benefit from public health nursing (PHN) home visits, but sustaining home visit programs is challenging. Academic-practice partnerships can guide students and families partnered in a reciprocal relationship with "village" resources.
本项目开发与评估项目的目的是通过建立学术-实践伙伴关系、教育护理学学士(BSN)学生以及构建由相互关联的资源“村落”支持的家庭-护理学生伙伴关系,来促进健康家庭和社区的发展。
本项目采用混合方法设计。数据收集自弱势家庭、参与公共卫生护理实习的BSN学生以及伙伴成员的便利样本。
开发了九种工具,用于在两个学期内收集数据,包括地理信息系统(GIS)绘图策略。
共对20个家庭进行了175次家访,其中14个家庭需要口译协助。家庭对家访质量、教育以及实现健康目标的协助表示满意。53名学生提供了202次教育干预、39次社区资源连接以及46次护理过渡。学生们表示将理论与实践相结合,并重视公共卫生护理实习经历。学术-实践伙伴确定了项目开发和可持续性的机会。GIS绘图展示了家庭与社区资源之间复杂的联系。
结果表明,年轻的弱势家庭从公共卫生护理(PHN)家访中受益,但维持家访项目具有挑战性。学术-实践伙伴关系可以指导学生和家庭与“村落”资源建立互惠关系。